CAROL A BACALLAO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003157

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

BACALLAO

Business Name

CAROL A BACALLAO

Original Issue Date

07/29/1993

Expiration Date

12/31/1997

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005